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Minnesota rates for HCPCS L8485

Prosthetic Sock Single Ply Fitting Upper Limb Each (Special Coverage Instructions Apply. See Mcm: 2133)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.45 / $12.45 / $12.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.13 / $12.45 / $12.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.74 / $14.87 / $20.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.90 / $14.13 / $14.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.63 / $45.52 / $126.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.25 / $18.29 / $21.91
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.02 / $43.67 / $99.55
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.25 / $17.25 / $17.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.43 / $14.87 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.44 / $7.44 / $14.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.44 / $7.44 / $19.63